Tarzana Total Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A42975 Issued in CA

Legal business name

TARZANA TOTAL CARE

Practice address

18607 Ventura Blvd
204
Tarzana, CA 91356-4159

Phone

(818) 343-1168

Fax

(818) 343-1184

NPI assigned

Dec 5, 2012

Last updated

Dec 5, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Omid Nassim, M.D.

Title

President

Phone

(818) 343-1168

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1326383183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD",
            "address_2": "204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564159",
            "telephone_number": "818-343-1168",
            "fax_number": "818-343-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD",
            "address_2": "204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564159",
            "telephone_number": "818-343-1168",
            "fax_number": "818-343-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA TOTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "NASSIM",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-343-1168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42975",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A42975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.